| Name Of the Firm : | Maa Medicine Store |
| Zone : | Central |
| Range : | BBSR-II |
| Police Station : | |
| Address : | Plot No-1168, Shop No-05, Forest Park, BBSR |
| RP Name : | Biswajit Jena |
| Registration Number : | 25125/opc |
| Competent Person : | - |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Ashok Ku Rout |
| R : | 27735 |
| RC : | 27736 |
| RX : | 10880 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 10/9/2012 |
| Date of Expiry : | 10/8/2017 |
| Remarks : |